Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11006 | Date 03/01/2024 |
| Token No | SM/22-23/14068 03/01/2024 | Serial | 025 |
| Patient Name | Miss SONU SHARMA | Contact No | 7044283940 |
| Address | 5/A RAJMOHAN GOSWAMI LANE | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||